Florida Regulations 65E-16.002: Individual Eligibility Criteria
Current as of: 2024 | Check for updates
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To be eligible for the Program, individuals must meet the following clinical and financial eligibility criteria.
(1) To meet the clinical criteria, individuals:
(a) Must be a member of at least one (1) of the Department’s priority populations, as defined in Florida Statutes § 394.674(1); and
(b) Must not currently be admitted to a state mental health treatment facility, an inpatient psychiatric hospital, or a crisis stabilization unit.
(2) To meet the financial eligibility criteria, individuals:
(a) Must have a net family income at or below 150 percent of the Federal Poverty Income Guidelines, as published annually in the Federal Register; and
(b) Must lack third-party insurance, including Medicaid, or other funding sources for psychotropic medications.
If individuals have third party insurance for psychiatric medications but the prescribed medication is not covered or not authorized, they may receive IPMP psychiatric medications until the prescribed medication is covered or authorized by the third-party insurer.
Rulemaking Authority Florida Statutes § 394.676(2). Law Implemented Florida Statutes § 394.676. History-New 9-19-19.
(a) Must be a member of at least one (1) of the Department’s priority populations, as defined in Florida Statutes § 394.674(1); and
(b) Must not currently be admitted to a state mental health treatment facility, an inpatient psychiatric hospital, or a crisis stabilization unit.
(2) To meet the financial eligibility criteria, individuals:
(a) Must have a net family income at or below 150 percent of the Federal Poverty Income Guidelines, as published annually in the Federal Register; and
(b) Must lack third-party insurance, including Medicaid, or other funding sources for psychotropic medications.
If individuals have third party insurance for psychiatric medications but the prescribed medication is not covered or not authorized, they may receive IPMP psychiatric medications until the prescribed medication is covered or authorized by the third-party insurer.
Rulemaking Authority Florida Statutes § 394.676(2). Law Implemented Florida Statutes § 394.676. History-New 9-19-19.